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This text has been written as a practical guide, based on the author’s experience over the last 40 years of daily clinical practice and aiming to place the modern approach to the management of infertility in the context of sound theory and evidence-based therapy. It provides the reader with a comprehensive classification of the causes of infertility, their investigation, and their management. This new edition covers many advances in the understanding and management of infertility and other updates to practice--for example, a greater understanding of the pathophysiology of ovarian aging and ovarian reserve testing; the classification of disorders of ovulation and management of polycystic ovary syndrome; the refinement of regimens for superovulation, improved embryo culture systems, and the use of artificial intelligence for the selection of embryos; assessments for endometrial receptivity and management of recurrent implantation failure; pre-implantation genetic testing (PGT) as a therapeutic tool opening up the possibility for aneuploidy screening; as well as the latest thoughts on nutritional health, periconception care, and the exciting new world of the microbiome.
This guide provides an overview of quality control in ART laboratories. It explores frameworks and essential tools necessary for effective quality management. The fields of monitoring, equipment maintenance, and the intricate aspects of embryo care and cryopreservation are thoroughly examined. The significance of the ART lab witnessing system is highlighted, demonstrating the seamless integration of both manual and electronic witnessing tools. Readers will gain insights into the roles played by KPIs and SOPs. For aspiring embryologists, this guide offers an exploration of training techniques, addressing the inherent challenges of the field. Practical coping strategies are provided to help navigate these stressors successfully. With real-world case studies and discussions on laboratory design, this resource serves as a guide to achieving excellence in ART. It emphasizes the importance of balancing patient care, procedural accuracy, and practitioner well-being.
Intra-uterine insemination (IUI) is a widely used fertility treatment for couples with unexplained and male subfertility. Although it is less invasive and less expensive than l other treatment options such as in vitro fertilization, several factors affect its outcome. In addition, IUI remains controversial due to concerns about some of the possible aspects of treatment, including side-effects such multiple pregnancies. This comprehensive evidence-based book from an international IUI expert team explores all of these topics and provides clear guidelines for daily practice.
A major new international reference work on andrology from the EAU Section of Andrological Urology covering such issues as male infertility, erectile dysfunction, late-onset hypogonadism, and reproductive cancers that engages with contemporary concern for evidence based practice, minimizing interventions, and promoting male reproductive heal
The field of infertility research and practice is one of continuous innovation and change, but alongside the increasing sophistication of assisted reproductive techniques there is as strong a need as ever for clinical experience and expertise and common practical sense to inform diagnosis and clinical decision making. Now in its fourth edition, Infertility in Practice is practical and gives the clinician a clear picture of the aetiology of infertility and a careful assessment of the basis for treatment options. A thoroughly comprehensive book that provides sound theory and evidence based therapy, this book is a must for any practitioner dealing with infertility.
Comprehensively reviews all aspects of ovarian stimulation and the successful management of patients in line with modern practice. Covers the different stimulation protocols from which to choose, the management of poor responders and hyper-responders, as well as stimulation in patients with PCOS.
Each patient seeking assisted reproduction has a unique set of circumstances that affects the outcome of treatment. Particularly challenging are those patients with pre-existing medical conditions or those receiving medical therapies that may impact the safety and success of their IVF treatments. Prior identification and preparation of the patient
Each patient seeking assisted reproduction has a unique set of circumstances that affects the outcome of treatment. Particularly challenging are those patients with pre-existing medical conditions or those receiving medical therapies that may impact the safety and success of their IVF treatments. Prior identification and preparation of the patient at increased risk of complications will enable the clinician to avoid problems in advance, anticipate the necessary management, and optimize outcomes. A new expanded edition of the prize-winning text IVF in the Medically Complicated Patient: A Guide to Management, Second Edition provides a readily accessible, authoritative, and didactic source of information to aid clinicians in this important field.
Anovulation – one of the most common causes of infertility – is here given a thorough review, with classification of the different subtypes, how they are diagnosed, how they are treated, and the possible complications and outcomes involved. This is a comprehensive evidence-based summary from an international expert team, with guidelines for daily practice clearly stated and summarized for your convenience.
Global experts present thought-provoking debates on over 50 topics in reproductive medicine, one of modern healthcare's most controversial areas.